About

Our medical care facility offers treatments from the best doctors in the field of Gynecologist .
By combining excellent care with a state-of-the-art facility we strive to provide you with......more

Our medical care facility offers treatments from the best doctors in the field of Gynecologist .
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.

A mammogram is an imaging test where an X-ray is taken to recreate the internal imagery of your breasts. This is a screening test that is widely used to find the earliest signs of cancer. There have been instances where the early signs of cancer have been found up to three years before the actual development of the same. There are a number of benefits and risks in this screening method. So let us find out more about getting a mammogram, and whether or not you should get one.

Procedure: A special X-ray machine is used for conducting a mammogram. There is a clear plastic plate on which the specialist will place the breast while another plate will press on the breast from above. While both the plates serve to flatten the breast and hold it still, the X-ray will be taken. Some pressure will be felt and the same steps will be repeated so as to get the side view of the breasts. The same procedure will be repeated for the other breast. Meanwhile, once it is done, you will need to wait so that the technician can check for clarity, and whether or not the procedure needs to be done again. The results of this procedure cannot be relayed by the technician, and all the images will be different because all breasts are slightly different from each other.

Preparation: You will need to remember that the process can be a slightly painful one, especially once the pressure gets applied. Many women complain of discomfort and pain. Yet, this discomfort gets over before you know it. The pressure and pain will depend on the size of your breasts and how much they will have to be pressed in order to get a picture. The skill of the technician will also come into play here. One must remember not to get this procedure done a week or so before or after the menstrual cycle, as the breasts tend to be tender around this time, and the pain will be much more.

Radiologist: Within a few weeks after the procedure, the radiologist will usually deliver the result. This is the professional who does an accurate reading of the X-ray.

Normal and Abnormal Readings: If your mammogram result has a normal reading, then you can resort to getting one done every once in a while. But an abnormal reading will require further X-ray and tests so as to be able to tell for sure.

Why should I get one: If you are over 40 and have a family history of such ailments. Women between 45-54 years with average risk, should get it done once every year. Women above 55 years, should get it done every 2 years.

Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

Substances which help the body maintain its tissues trigger fibroid growth as well.

Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.

Latest Advancements:

Mifepristone: It, also known as RU-486, reduces heavy menstrual bleeding and imporves fibroid-specific quality of life. It competitively binds and inhibitsprogesterone receptors.

Ulipristal acetate: It is a progesterone receptor modulator that acts as a postcoital contraceptive. As progesterone promotes the growth of uterine fibroids, blocking its receptor may reduce their size.

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases.

It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. The sufferes of miscarriage should also undergo a Nuchal Scan (NT Scan) between 11 to 13 week from pregnancy.

In some cases, a D&C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage. While the above take care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.

Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.

Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.

Formal medical counseling - If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.

Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better. If you think you need additional help and would like to consult with me privately, please click on 'Consult'.

Sweda means sweat which is the mala through which pitta is eliminated. The therapies which help in producing perspiration are called swedana.

In Swedana, certain procedures are done to dilate the srotas and to make the body sweat. This is done after sneha therapy. Swedana works in conjunction with sneha to facilitate the removal of ama and mala from the srotas and dhatus and to transport them back to the kostha (Gastrointestinai tract).

It can be done in specific parts or all over the body

It is mainly indicated for kapha and vata diseases.

A. Types of swedana
It is classifted into 4 main types
I.Tapa sweda:-
Sweating using hot sand.Used in Ama vata (acute rheumatic conditions)

2. Upanaha sweda - Poultices
Powders of herbs and food grains are mixed with vinegar, oil and a little salt .warmed, applied on specific parts which are then covered by leaves and cloth tightly.It is done in night and removed in the morning

Gangrene
In gangrene, body tissue dies due to an inadequate supply of blood. The main cause of gangrene is the loss of blood supply that occurs due to an underlying illness, injury and/or infection. Generally, it affects fingers, toes, and limbs. But it can also occur inside the body which can cause damage to organs and muscles. There are various types of gangrene and all the types need an immediate appointment with the doctor. In certain cases, gangrene can be life-threatening if left untreated. So, it is important that you visit a doctor as soon as you experience or discover the signs or symptoms of gangrene. Check out the various types of gangrene:

- Dry gangrene: All the organs of the body including the liver, heart, and muscles require oxygen in order to function properly and survive. Blood carries the oxygen to all the parts of the body. Dry gangrene is caused when one of the body parts does not get enough oxygen. Because of which the body part starts to deteriorate and die. In dry gangrene, there is no evidence of infection.

- Wet gangrene: When some type of bacteria causes infection in body tissues then it leads to wet gangrene. The tissues grow moist and break down due to the presence of bacteria. This process leads to the death of tissues. In wet gangrene, there are chances of infection reaching to the other parts of the body. Wet gangrene is an emergency condition than the dry gangrene.

- Gas gangrene: Gas gangrene occurs due to a bacteria which is known as Clostridia. This type of bacteria creates an infection due to which gas bubbles and toxins develop inside the affected area. This lead to the death of tissues. Gas gangrene can be fatal.

Symptoms of Gangrene
In dry gangrene, the first symptom that you generally notice is an appearance of a reddish line around the affected area. This reddish line may turn into black colour after some time. You may or may not have the pain in dry gangrene. Check out the various signs or symptoms of gangrene:

- Part of your skin may turn into an unusual colour including greenish-black, red, blue, or bronze

- A cracking sound comes when you press the affected area of your body

- Feverish and unwell feeling

Causes of Gangrene
Blood has a very important role to play in your body. It not only sends oxygen and nutrients to the cells of your body but also delivers disease-fighting antibodies that prevent your body from infection. Due to an inadequate supply of blood, cells cannot survive, an infection can grow, tissues can die due to gangrene. There are a lot of conditions that can affect the blood flow in your body and all these conditions increase the risk of gangrene. Check out the various causes of gangrene:

- Diabetes: Due to imbalanced blood sugar levels, blood vessels and nerves can damage. This reduces the oxygen supply to extremities. Dry gangrene can occur due to diabetes.

- Injury: When the wounds sustained in the situations that allow bacterial infection then wet gangrene can occur.

- Immune deficiency: Minor infections escalate more quickly and can become gangrenous due to a weakened immune system which can happen due to HIV, diabetes, long-time alcohol or drug abuse, or recent chemotherapy or radiotherapy.

- Raynaud's disease: In Raynaud's disease, some areas of your body including fingers and toes feel numb and cool in response to certain conditions. Raynaud's disease can lead to dry gangrene.

- Vascular problems: Vascular problems arise generally due to the poor health of arteries and veins in the legs and toes. Diabetes, peripheral arterial disease, and high blood pressure develop vascular problems over time.

- Other causes: Atherosclerosis, obesity, smoking, embolism, trauma, severe burns, scalds, and cold are some of the other causes of gangrene.

How is it diagnosed?
As soon as you experience signs of gangrene, you should reach out to a doctor for a diagnosis. Your doctor will conduct a physical examination and ask you about your medical history. Your doctor will look for the signs of shock or trauma. If your doctor finds out that you are suffering from gangrene then further diagnostic tests will be conducted. These tests are conducted to determine the extent and type of the necrosis. Various tests are conducted for the diagnosis:

- Blood tests: Increase in white blood cells indicate the presence of an infection. Blood tests are also done to check if certain bacteria or other germs present or not.

- Imaging tests: Imaging tests including an x-ray, a computerized tomography (CT) scan or a magnetic resonance imaging (MRI) scan can be done. These tests are done to view the structures of your interior body including internal organs, blood vessels or bones. These tests also help to know the extent of gangrene and see if any gas is present under your skin. An arteriogram is also an imaging test done to produce the images of your arteries. In this test, a dye is injected into the blood circulating through your body and then X-ray images are taken to check the flow of blood through your arteries. This test helps your doctor to know if there is any blockage in your arteries.

- Surgery: Your doctor may conduct a surgery in order to know the extent of gangrene. Surgery is also done to get the samples of tissue. Sometimes, your doctor may remove the dead tissues surgically if required.

- Fluid or tissue culture: A common cause of gangrene is bacterium Clostridium perfringens. A culture of the fluid from a blister on your skin may be examined by your doctor for checking the presence of bacteria. Your doctor may look at a tissue sample under a microscope for signs of cell death.

Prevention of Gangrene
Gangrene can be prevented by preventing the risk factors that can cause gangrene. In order to prevent yourself from gangrene, you should maintain a healthy lifestyle. Check out the various ways that reduce the risk of gangrene:

- If you have diabetes problem then follow your doctor's advice in order to keep your blood sugar under control.

- You should avoid or reduce the intake of alcohol.

- Don’t use warfarin and heparin together. Using warfarin and heparin together can increase your risk of gangrene.

Treatment of Gangrene
As soon as you experience the symptoms of gangrene, you should reach out to your doctor. In the early stage, the chances of recovery are more. In gangrene treatment, dead tissues are removed, infection is prevented or treated so that it does not spread, and cause of gangrene is treated. The treatment that will be provided to you by your doctor will depend on:

- Type of gangrene

- Extent of gangrene

- Your medical history

Check out the various treatment options available:

- Surgery: Surgery is also known as debridement. In this treatment option, the dead tissue is removed surgically so that infection does not spread. Sometimes, amputation is required. Amputation is the removal of the affected limb, finger or toe surgically to control pain or a disease.

- Antibiotics: Antibiotics are given in order to treat and prevent infections. These antibiotics are injected into a vein.

- Maggot therapy: It is a non-surgical treatment option used for removing the dead tissues. Maggot therapy is a common medical technique. In this, maggots from fly larva are placed on a wound so that they can consume the infected and dead tissues. They do not harm the healthy tissues. Maggots help to fight the infection and release substances that kill bacteria which helps in speed up healing or recovery.

- Oxygen therapy: In some cases of wet gangrene or ulcers related to diabetes or peripheral artery disease, this treatment option of hyperbaric oxygen therapy may be used. In this, a patient is put into a chamber filled with oxygen. The pressure of oxygen is higher than the oxygen found in the outside air. The high level of oxygen saturates the blood and encourages healing of the dead tissue. This process reduces the growth of a bacteria that cannot grow in an environment that has a high level of oxygen.

It is important to know the cause of gangrene so that you can prevent gangrene from occurring again. Your doctor prescribes the treatment option as per the type and extent of gangrene. Medicines may be used in certain cases to prevent blood clots. It is a serious problem that requires immediate treatment. Dry gangrene can be easily treated with the medicines. Gangrene that involves an infection can be a threat to your life. You should reach out to your doctor as soon as you experience the symptoms of gangrene including persistent and unexplained pain in any area in your body, fever, a wound that is slow to heal, or you notice a change in skin colour. In an early stage, the chances of recovery are higher.

Complications
- Amputation: It is a surgical treatment method in which affected limb, finger or toe is removed to control pain or a disease. This method is used when the amount of tissue death is extensive.

- Infection: In gangrene, a bacterial infection can spread quickly to other parts of the body. It is a serious problem and can be a threat to your life if left untreated or not treated properly on time.

- Life-threatening disease: Gangrene is a fatal problem that can be life-threatening if not treated properly on time or left untreated.

- Large areas of scarring: Gangrene can spread rapidly over a large area of the body and the amount of dead tissue can be quite large. Gangrene can lead to large areas of scarring.

Conclusion
In gangrene, the body tissues die due to lack of blood supply or serious bacterial infection. The various types of gangrene include wet gangrene, dry gangrene, and gas gangrene. Fever, pain due to an infection, feeling cold and lacking a sense of touch in an area of the body, blisters and pus-filled wound are some of the signs of gangrene. As soon as you experience any of the symptoms, you should book an appointment with the best doctor for the diagnosis. In certain cases, it can be a threat to your life if not treated properly or left untreated. Blood tests, imaging tests, surgery, and fluid or tissue culture are various tests conducted to diagnose gangrene. The various treatment options available for treating the problem of gangrene are surgery, antibiotics, maggot therapy and oxygen therapy. You can prevent yourself from gangrene by following a healthy lifestyle which includes maintaining a healthy weight, reducing the intake of alcohol, quitting smoking, eating a healthy diet and more. Amputation is used in the extreme cases in which the affected limb, finger or toe is removed. Your doctor prescribes the treatment method on the basis of the type of gangrene you are suffering from, the extent of your gangrene and your medical history.